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Cervical Cerclage in Pregnancy

The cervix, normally closed during pregnancy, provides vital support to the growing fetus. Cervical insufficiency occurs when the cervix weakens prematurely, increasing the risk of adverse outcomes. Indications for Cervical Stitch: Cervical stitch, or cerclage, is recommended for women at risk due to: 1. **History of Preterm Birth:** Especially in the second trimester. 2. **Previous Pregnancy Losses:** Recurrent second-trimester losses may indicate cervical strength issues. 3. **Anatomical Factors:** An unusually short cervix or other factors increasing the risk of cervical insufficiency. 4. **Previous Cervical Trauma:** Trauma or surgery, like a cone biopsy, can weaken cervical tissues. Procedure: Done between the 12th and 14th week, it involves: 1. **Evaluation:** Thorough assessment, including a pelvic exam and ultrasound, to determine candidacy. 2. **Placement of Stitch:** A stitch around the cervix for added support, either transvaginally or transabdominally. 3. **Monitoring:** Regular ultrasound and assessments post-procedure to ensure the stitch holds and pregnancy progresses well. Risks and Considerations: While generally safe, considerations include: 1. **Infection:** Strict hygiene and sterilization protocols at Sukhayu Hospital minimize infection risks. 2. **Preterm Rupture of Membranes:** Rare, but carefully considered before recommending cerclage. 3. **Cervical Laceration:** Minimal risk, managed by experienced healthcare professionals. 4. **Allergic Reactions:** Thorough medical history assessments to identify potential allergies. Sukhayu Hospital's Approach: Ensuring safety is a priority with: 1. **Expert Consultation:** Detailed evaluation considers medical history and existing risk factors. 2. **State-of-the-Art Facilities:** Advanced technology ensures precision in every aspect of the procedure. 3. **Comprehensive Monitoring:** Regular monitoring through ultrasound and diagnostic tools. 4. **Patient Education:** Detailed information empowers informed decision-making. Conclusion: Pregnancy is transformative, and Sukhayu Hospital recognizes the importance of comprehensive care. Cervical insufficiency can be managed effectively with procedures like cervical stitch. Sukhayu's expert team is committed to personalized care, advanced technologies, and prioritizing patient education for a safe journey to motherhood. For concerns, reach out to Sukhayu Hospital. They are dedicated to supporting your journey every step of the way.

Umbilical Hernia Surgery

Umbilical hernia surgery is a small, quick operation to push the bulge back into place and to strengthen the abdominal wall. In most cases, the person receiving surgery will be able to go home on the same day. Surgery involves making an incision at the base of the belly button and pushing either the fatty lump or bowel back into the abdomen. In open surgery, our surgeon will open the site and repair the hernia by using mesh and stitching the muscle together. In laparoscopic surgery or keyhole, surgery, mesh and sutures will be passed through small incisions. Muscle layers are stitched over the weak area in the abdomen wall, fortifying it. Dissolvable stitches or special glue are used to close the wound. The surgeon will sometimes apply a pressure dressing on the hernia, which remains in place for 4 to 5 days. An umbilical hernia operation usually takes about 20 to 30 minutes.

Orthopedic Surgery for Fractures

ORIF is performed by our orthopaedic surgeon. The surgery is used to fix fractures in the arms and legs, including bones in the shoulder, elbow, wrist, hip, knee, and ankle. Open reduction internal fixation (ORIF) is a surgery to fix severely broken bones. It’s only used for serious fractures that can’t be treated with a cast or splint. These injuries are usually fractures that are displaced, unstable, or those that involve the joint. “Open reduction” means a surgeon makes an incision to re-align the bone. “Internal fixation” means the bones are held together with hardware like metal pins, plates, rods, or screws. After the bone heals, this hardware isn’t removed. Generally, ORIF is an urgent surgery. Your doctor might recommend ORIF if your bone: breaks in multiple places moves out of position sticks out through the skin ORIF may also help if the bone was previously re-aligned without an incision — known as closed reduction — but didn’t heal properly. The surgery should help reduce pain and restore mobility by helping the bone heal in the right position. Despite the increasing success rate of ORIF, recovery depends on your: age health condition post-surgery rehabilitation severity and location of the fracture Depending on your fracture and risk for complications, your procedure might be done immediately or scheduled in advance.

LSCS (Cesarian Section)

A Caesarean section is the delivery of a baby through a surgical incision in the abdomen and uterus. Caesarean sections can be classified as either ‘elective’ (planned) or ‘emergency’. Emergency Caesarean sections can then be subclassified into three categories, based on their urgency. This is to ensure that babies are delivered in a timely manner in accordance to their or their mother’s needs. The Royal College of Obstetricians and Gynaecologists (RCOG) recommends that when a Category 1 section is called, the baby should be born within 30 minutes (although some units would expect 20 minutes). For Category 2 sections, there is not a universally accepted time, but usual audit standards are between 60-75 minutes. Emergency Caesarean sections are most commonly for failure to progress in labour or suspected/confirmed fetal compromise.

Lipoma Surgery

A lipoma is a lump under the skin that occurs due to an overgrowth of fat cells. Doctors consider lipomas to be benign tumors, which means that they are non-cancerous growths. However, people may wish to remove a lipoma that causes pain, complications, or other symptoms. Some people also have concerns about the cosmetic appearance of lipomas. Lipomas can occur anywhere on the body where fat cells are present, but they tend to appear on the shoulders, chest, trunk, neck, thighs, and armpits. In less common cases, they may also form in internal organs, bones, or muscles. Lipomas feel soft and may move slightly under the skin when people press down on them. They usually grow slowly over a period of months or years and typically reach a size of around 2–3 centimeters (cm). Occasionally, people have giant lipomas, which can grow to more than 10 cm. At Sukhayu Hospital we have successfully treated many patients with lipomatosis

Bartholin's Cyst Surgery

The Bartholin's glands are located on each side of the vaginal opening. These glands secrete fluid that helps lubricate the vagina. Sometimes the openings of these glands become obstructed, causing fluid to back up into the gland. The result is relatively painless swelling called a Bartholin's cyst. If the fluid within the cyst becomes infected, you may develop a collection of pus surrounded by inflamed tissue (abscess). A Bartholin's cyst or abscess is common. Treatment of a Bartholin's cyst depends on the size of the cyst, how painful the cyst is and whether the cyst is infected. Sometimes home treatment is all you need. In other cases, surgical drainage of the Bartholin's cyst is necessary. If an infection occurs, antibiotics may be helpful to treat the infected Bartholin's cyst.

Fissurectomy for Anal Fissure

If you have an anal fissure that hasn’t healed with self-help measures and medical treatments, we may suggest you a procedure to treat it. An anal fissure is a small tear or ulcer (open sore) in your skin around the opening of your anus. There are several different types of procedures available, including injections with botulinum toxin, removal of the fissure (excision or fissurectomy) and sphincterotomy. We may suggest you have a procedure called a fissurectomy alongside Botox injections. This involves cutting away the damaged skin from around your anal fissure, along with any ‘sentinel’ skin tags (lumps of skin associated with the fissure).

Circumcision Surgery

Male circumcision is an operation to remove the foreskin that covers the tip of the penis. The functions of the foreskin include protecting the head of the penis and contributing to sexual sensations. While recent research suggests that circumcision may bring some medical benefits, some doctors believe these are too small to justify surgery. A medical circumcision is a circumcision performed to treat a disease, such as pathological phimosis (lichen sclerosis), recurrent balanitis or recurrent urinary tract infections. A request circumcision is a circumcision performed for non-medical reasons, such as parental preference, religious reasons or to potentially prevent disease at some future time.There are different methods of circumcision. Either local or general anaesthesia should always be used. The procedure involves numbing the area with local anaesthetic creams or injection. A bell-shaped instrument is inserted under the foreskin to separate it from the penis. The foreskin is then removed using scissors or a scalpel. Alternatively, circumcision can be performed as a formal surgical procedure, using dissolving sutures or tissue glue.

Hydrocele Surgery

A hydrocele is a sac of fluid that forms around a testicle. It occurs when fluid builds up in the layer of tissue that covers the testicle. It may be caused by an infection or by injury to the testicle. But the cause is often not known. A large hydrocele can cause pain or swelling in the scrotum. Hydrocelectomy is surgery to remove the hydrocele. The procedure takes about 30 minutes. You will likely go home on the same day.

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